Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00379
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10220 SW NIMBUS AVE K10
Project: Scholls Business Park Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Replace (1) 2 - ton RTU with like kind
Contractor: REITMEIER MECHANICAL Owner: HANSON, RONALD D
19570 SW 90TH CT ROBINSON, CONSTANCE A
TUALATIN, OR 97062 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 603 -0205 PHONE:
FAX: 503 - 603 -0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/11/2013 $269.03
Class of Work: ALT Type of Const: IIIB Plan Review 07/11/2013 $67.26
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/11/2013 $32.28
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 07/11/2013 $4.00
Project Valuation: $7,200.00 11x17)
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $372.57
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ��_ / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicationnCEI JE� FOR OFFICE USE ONLY
City of Tigard �/� R eceived Permit
1 ity d o H all Blvd. Tigard, OR 97223
t II' n Date/By: 7 Q / I PitN O�ca0 /3 6
� 7 '" P h one: 503.718.2439 Fa 50 JU� 0 21J Date /By: r2
Date/By: �Q `/ Other Permit:
Ti.fi31.t)'5 Inspection Line: 503.639.4175 Datc Read : kris: ei See Page 2 for
Internet: www.tigard or.gov C 'OFTIGARD Notified/Method: 7�l /� 3 (. ,/!n
��/ Supplemental Information
BUILDIN ► i as , _; -R „ , - - `�'
TYPE OF WORK OMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ■Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 1 t 200
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling n2'(ommercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning
Job site address: 1 0220 S.),) tJ V■gZt) l (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: -il or., Furnace 100,000+ BTU (ducts /vents) 54.91 '
Suitc/bldg. /apt. no.: Project name: — n • ,- Heat pump
/� (requires site plan showing placement) 61.06
Cross street/d it /{ 9
d actions to job site: �t-L.. "o'er S' 5 �t Duct work 23.32
/ Hydronic hot water system 23.32 Ai / / I / Residential boiler (radiator or
Y /L�' hydronic) 23.32
ll �� Unit heaters (fuel -type, not electric),
`' in -wall, in -duct, suspended. etc. 46.75
Subdivision Lot no.: Flue /vent for any of above 23.32
- Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas f fo
n -`kC- 2 �� vent for wa 33.39
water F-G` L f�' (�{ {Gti �VL LJY/l: Flue yarn for wter hcatcr or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: S( ,LJ 6.JS (00ESS f3►R4‘.__ Environmental exhaust and ventilation:
Address: g ) k_ 2�-J *t 0 equipment e hood other kitchen
equ 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspacc fans 23.32
p� Other: 23.32
Business name: ee IT%44e1 inn- VM CGN Act-) I Cik'' Fuel t m
P g:
Contact name: 2 »� e �.0CIA_ $14.15 for first four; $4.03 for each additional
l 5 o 5J 90 1 - ^ ,u (2... Furnace, etc.
Address: - (Du
Gas heat pump
City /State /ZIP: 1 w) l Dit_ q700 2- Wall/suspended/unit heater
Phone: (S3 ) 603 )j ' Fax:: (533 )( 0G-c) Water heater
Fireplace
E -mail: ct�^ . o) r -t2- .i.� ` „2 c v C tn.t c,o ,. ' Lc — Range
a CONTRACTOR Barbecue
Business name: Sa,t,L G Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 153770 State surcharge (12% of permit fee) Li
TOTAL PERMIT FEE 370q* 57
This permit application expires if a permit is not obtained within 180
Authorized signature: / days after it has been accepted as complete.
Print name: e ,,3 oc2A_ Date: /VO ) * Fee methodology set by Tri- County Building Industry Service Board
I:\Building \Permits \MEC- PermitApp.doc 03/07/12 440 -4617T (I I /02 /COM/WEB)